Eligibility and Prior Authorization Specialist-Temp

28 minutes ago
Contract
Mid Level
Operations
Natera

Natera

Natera specializes in cell-free DNA testing, providing advanced genetic testing services for oncology, women's health, and organ health to help families diagnose and manage genetic diseases.

Pharmaceuticals
1K-5K
Founded 2004

Description

  • Serve as a subject-matter resource for eligibility, prior authorization, and related revenue-cycle functions.
  • Analyze performance data, identify trends, present opportunities, and prioritize improvement initiatives.
  • Build productive relationships with internal departments and external vendor operations teams.
  • Oversee prior authorization, claims, and appeals activities to ensure timely and accurate processing.
  • Monitor changes in eligibility and prior authorization requirements and interpret guidance to determine departmental actions.
  • Coordinate with management on trends and issues affecting revenue-cycle performance.
  • Develop goals and metrics aligned with organizational strategy.
  • Develop, manage, and monitor implementation and project plans.
  • Identify technologies and process improvements that support revenue-cycle performance.

Requirements

  • At least 3 years of experience in medical billing and insurance collections.
  • At least 3 years of experience with eligibility, prior authorization requirements, payer utilization-management policies, and appeals.
  • Bachelor’s degree in a healthcare-related field or equivalent experience.
  • Proficiency with medical billing systems and Microsoft Excel.
  • Knowledge of medical terminology, healthcare nomenclature, and systems.
  • Knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes.
  • Strong analytical, communication, organizational, problem-solving, and teamwork skills.
  • Ability to analyze and clearly report trends, develop reports, manage competing priorities, and apply critical thinking.
  • Ability to maintain confidentiality of sensitive information.

Benefits

  • Remote position available across the United States.
  • Pay range of $25–$30 USD per hour, depending on qualifications and location.
  • Medical, dental, vision, life, and disability insurance for eligible employees and dependents.
  • Free testing for employees and immediate family members, plus fertility care benefits.
  • Pregnancy and baby-bonding leave.
  • 401(k) and commuter benefits.
  • Employee referral program.

Interested in this position?

Apply directly on the company website

Apply Now

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